MRI简单讲就是测体内水分子变化.人体含水,血液里含水.肝癌的早期检测MRI优于CT.这些年你的医生开CT却不做MRI蛮奇怪.你应该找教学医院的医生看,他们一边做研究一边看病可能会对你的情况感兴趣.
你回贴说血铁含量正常.但Ferritin 偏高413,当地的检测的Normal range是18-464 ng/ml.那也在正常范围.
2个都在正常范围血液医生也不回启动放血疗法的,需要自己想办法减低.
一般HBVDNA10的5次方开始吃抗乙肝病毒药,大概率美国医生不会开乙肝抗病毒药给你吃.
乙肝抗病毒的药吃了就得吃一辈子,HBVDNA是用PCR方法检测,小于10不等于病毒真的没有.擅自停肝抗病毒万一反跳很容易在短期内引起肝衰竭.
https://m.thepaper.cn/newsDetail_forward_17108630
CT Scan vs. MRI: What’s the Difference? And How Do Doctors Choose Which Imaging Method to Use?
What are the advantages of MRI?
Where MRI really excels is showing certain diseases that a CT scan cannot detect. Some cancers, such as prostate cancer, uterine cancer, and certain liver cancers, are pretty much invisible or very hard to detect on a CT scan. Metastases to the bone and brain also show up better on an MRI. This imaging is also used for many purposes unrelated to cancer, including injuries to soft tissue or joints, and injury or disease of internal organs including the brain, heart, and digestive organs.
CT与MRI影像对肝细胞癌诊断价值的比较及预后因素分析
https://www.spandidos-publications.com/10.3892/ol.2018.9690#
In conclusion, the diagnostic efficacy of MRI in the diagnosis of small HCC is better than that of CT scan screening. When CT screening is not sufficient to accurately determine liver tumor lesions, MRI can provide a more precise imaging basis. Univariate and Cox multivariate regression analysis showed that the background of hepatitis B liver cirrhosis, tumor staging, and portal vein embolization were independent risk factors for poor prognosis of HCC. Therefore, developing individualized comprehensive treatment programs based on different situations of patients, regularly reviewing and timely taking measures for complications may effectively prolong the survival of patients. Thus, within the affordable scope of medical expenses, MRI diagnosis can provide important basis and screening method for appropriate treatment of HCC.
